Division of HIV, STD and TB Services(DHSTS)

CTR Coordinator’s MeetingApril 20, 2011

New Jersey Department of Health & Senior

Services

Introductions

Statistical Overview

EvaluationWeb

SAGE Update

DHSTS Training Update

Attachment C Requirements Workgroup Meeting Update

State Laboratory Update

Syringe Access Program Update – ARCH Nurses

RWJ Update

Agenda

Welcome Maureen Wolski

Assistant Commissioner Connie F. Meyers

Director, Prevention and Education Unit Steve Saunders, M.S.

Unit Staff Introductions

Welcome & Introductions

StatisticalOverview

DHSTS receives 80,000 – 100,000 data forms annually

Thank you for submitting these forms in a timely manner

Forms are processed through the following stages:

• Sorting• Scanning• Interpretation• Verification

• Review• Validation• Submission to CDC• Analysis and Reporting

CTR Data Processing Overview

Coordinators: Continue to:

Review the data forms prior to mailing Send the data forms on time Follow instructions for positive results

Complete – Parts 1 (front & back), 2 and 3 Mail to the Surveillance Program, PO box 363, 4th Floor,

Trenton, NJ 08625-0363 Provide DHSTS with 3 weeks notice when requesting

data forms

DHSTS Data forms received vs. data forms reported (Monthly

Progress Report) Data forms received vs. clients tested (Robert Word

Johnson Report)

CTR Data Challenges

Direct Entry (internet) Data Collection and Reporting System User-Friendly Real Time Access to Data Customized Reports – easily generated

Electronic Authentication – Identity proofed by CDC Staff using the system will:

Go thru the authentication process Be required to have an active e-mail address Have to have a valid identification – drivers license

Pilot Programs have been identified 1 Emergency Department, 1 CTR – with ED & MU, 1 County Jail, 2

Community Health Centers, 1 Planned Parenthood (10 sites) Technical Assistance Provided – implementation, system requirement

assessments, electronic authentication of staff, on-going assistance

EvaluationWeb

Rollover of New GrantAmendment/Revision Process

SAGEUpdate

TrainingUpdate

A new direction – Ecourses Benefits of Ecourses Registration and Completion Process

Website – http://hpcpsdi.rutgers.edu Computer System Requirements Present –

HIV/AIDS Basic Facts Launch Date – Summer 2010

Future – Other courses being developed

HIV Basic Facts

Town Hall Meetings – Nationally & Locally What consumers are saying How we are responding

“Creating Safe Spaces & Places: A Primer for Increasing Provider Skills in the Reduction of HIV/AIDS Stigma, Bias and Discrimination”

Designed to focus on stigmatization & discrimination surrounding HIV/AIDS

Strategies will include individual reflection, group sharing and environmental scans and analyses

Develop plan that can be introduced into the workplace

Training Opportunity

Required to attend: All coordinators & counselors

Training Dates & Locations (2 day course) May 26 & June 15 – Rutgers – New Brunswick May 27 & June 16 – Rutgers – Newark June 10 & July 8 – Rutgers – NewarkRegistration Process

Rutgers – http://hpcpsdi.rutgers.eduE-mail to PMORegistration closes – 1 week prior or when 35 individuals have registered

*** Register by May 10th ***

Registration Process

Attachment CRequirements

Establish and maintain written linkage agreements with a variety of service programs for the purpose of client referrals.

Written linkage agreements must include:the services provided,the location where services are provided,the overall time period of the agreement,the method for verifying if the client has kept the appointment, andsignatures of the responsible individuals from each agency.

Client referrals will be documented in the client’s chart.

Verification if client kept the appointment will be documented in the client’s chart and on Reporting Form

Linkage agreements should be maintained with, but are not limited to: HIV/AIDS treatment, prevention service agencies, crisis intervention, health center, family planning/planned parenthood, prenatal, financial/legal aide, substance abuse treatment, STD clinics, mental health treatment and support groups (HIV, battered women, grieving/bereavement, MSM, gay/lesbian/transgender).

Linkage Agreements

Report to PMO within 2 days Written Justification Required to Fill

a Vacancy Recommendation by PMO Approval by DHSTS

Personnel Changes

DHAS Resource Directory Maintained by Rutgers

Website – http://hpcpsdi.rutgers.edu Update Directory:

On Website Page Resource Directory

Search Database Div of HIV/AIDS Services Planning Bodies National Organizations Resource Index Download Directory Directory Update Form

Complete Form Fax or E-Mail

Resource Directory

Update

Every

July

Purpose Bring Agencies Providing Similar Services

Together to Identify Site Specific Issues & Concerns (i.e., security, promoting testing, access to patients)

Goal Thru Networking - Address Issues/Concerns

and Explore Ways to Minimize Problems

Workgroup Meetings by Initiative

New Division Name Public Health Infrastructure, Laboratories and

Emergency Preparedness – PHILEP Moving to New Facility

Courier Service Update Update Problems or Issues

Specimen Collection Gold top tube for primary sampling Requisition form/sample ID mismatches What do you need from us?

Supplies Blood Collection Tubes Requisitions Shipping containers

Laboratory Update

Martha Smith – Director, Policy Planning and Regulatory Compliance609-292-7783

Mary Efstathiou – PHILEP – HIV Coordinator609-984-9318 or 609-292-7013

Syringe Access Program

Access to Reproductive Care and HIV Services (ARCH)

NursesDr. Sindy Paul

Medical outreach nurses to provide primary care and harm reduction services

Target population: IDUs CBOs in association with SAP

Atlantic City Camden Jersey City Newark Paterson

Access to Reproductive Care and HIV Services (ARCH)

Funding from multiple sources CDC HIV Prevention Cooperative Agreement STD Program - Infertility Prevention Program TB Program

Collaboration with NJDHSS, FXBC, and CBOs

Collaborative Program

Educational process for nurses Didactic educational sessions & problem

solving Development of educational materials Template medical record Standing orders Data collection tool –Weekly Report Web-site – in progress

Program Development

Sexual risk reduction Safer injection education Reproductive health counseling

Including preconception counseling Overdose prevention counseling Nutritional counseling

Food bags available Other educational support

Services Provided – Harm Reduction

Pregnancy (point-of-care) HBV HCV Chlamydia GC HIV testing by CTR (RTA) Referral for treatment for all positive

tests Note: on-site Chlamydia and GC treatment

Services Provided – Lab Testing

Twinrix (hepatitis A & B) Diptheria, tetanus, pertussis Flu Pneumococcal Gardisil

Services Provided – Adult Immunizations

Wound assessment and care Drug treatment referral TB screening Narcan

Other Services

Number persons seen – 2,495 Female 1,157 Male 1,336 Transgender 2

Harm reduction visits Safer injection 1,255 Sexual risk reduction 629 Overdose prevention 336

Results 2010

Wound care 542 Other educational support 799 Pregnancy tests 137

Positive 23 Referred for prenatal care 32

Drug treatment referral 31 Other referrals 405 Twinrix 1 Other vaccines 27

Results 2010

At one site, the nurse reported that male SEP participants are bringing their pregnant girlfriends in to speak with the nurse, presenting an opportunity to link pregnant women at HIV risk to prenatal care.

At another site, a past SAP client returned to confirm her pregnancy and discuss options for prenatal care.

AnecdotesNumbers Don’t Tell The Whole Story

A woman tested positive for pregnancy and expressed fear, which turned into excitement when she learned about methadone maintenance. Client had been unaware of the resources available for pregnant women, and reported that she could not wait to begin treatment the following morning, since “it is not just me anymore!” Client reported that she had wanted to get pregnant, but she and her boyfriend had believed that they could not get pregnant due to possible fertility issues. Client reports that she has missed one period, which was due at the beginning of February. Client was admitted for methadone treatment and prenatal care.

Anecdote

ARCH nurses established ongoing patient relationships with very high-risk persons.

Often, the nurses’ teaching safer injection practices opened the initial door to this relationship.

The harm reduction environment supported clients’ return visits to the nurses for health education & to the SAP.

ARCH Summary

RWJ Update

Report Card

Project Update